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Kassondra Amada Shoemaker Brino, RN,CPNP-PC
Pediatric Nurse Practitioner in Apex, North Carolina
NPI 1548746365

Kassondra Amada Shoemaker Brino is a Pediatric Nurse Practitioner based in Durham, NC and is specialized in Pediatrics. Kassondra Amada Shoemaker Brino practices in Apex, NC and has the professional credentials of RN,CPNP-PC. The NPI Number for Kassondra Amada Shoemaker Brino is 1548746365 and holds a License No. 5010693 (North Carolina).

The current practice location address for Kassondra Amada Shoemaker Brino is 307 S Salem St Ste 100, Apex, NC and can be reached out via phone at 919-627-8771.

Location: 307 S Salem St Ste 100, Apex, NC, 27713-9266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548746365
Provider Name
Kassondra Amada Shoemaker Brino
Credential
RN,CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
307 S Salem St Ste 100, Apex, NC, 27713-9266
Phone Number
919-627-8771
Fax Number
Provider Enumeration Date
07/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68535 05 NC
institution
Provider Business Practice Location Address Details
Address
307 S Salem St Ste 100
City
Apex
State
North Carolina
Zip
27502-1845
Phone Number
919-627-8771
Fax Number
person
Provider Business Mailing Address Details
Address
307 S Salem St Ste 100
City
Apex
State
North Carolina
Zip
27502-1845
Phone Number
919-627-8771
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Developmental - Behavioral Pediatrics
Taxonomy
2080P0006X
License No.
5010693 (North Carolina)
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
5010693 (North Carolina)
Definition
Definition to come...
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